Inspection Reports for
Beacon Rehabilitation and Nursing Center
140 Beach 113th Street, Rockaway Park, NY, 11694
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
13.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
161% worse than New York average
New York average: 5.1 deficiencies/year
Deficiencies per year
28
21
14
7
0
Inspection Report
Annual Inspection
Capacity: 60
Deficiencies: 1
Date: Jul 10, 2024
Visit Reason
No detailed findings provided for this inspection.
Findings
No detailed findings provided for this inspection.
Deficiencies (1)
R9-10-803.J — Abuse reporting documentation
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Apr 15, 2024
Visit Reason
One standard health citation related to reporting to the national health safety network with no actual harm but potential for more than minimal harm.
Findings
One standard health citation related to reporting to the national health safety network with no actual harm but potential for more than minimal harm.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Apr 8, 2024
Visit Reason
One standard health citation related to reporting to the national health safety network with no actual harm but potential for more than minimal harm.
Findings
One standard health citation related to reporting to the national health safety network with no actual harm but potential for more than minimal harm.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 3
Date: Mar 14, 2024
Visit Reason
Multiple standard health citations including free from abuse and neglect (actual harm), investigation and reporting of alleged violations, all corrected as of March 1, 2024.
Findings
Multiple standard health citations including free from abuse and neglect (actual harm), investigation and reporting of alleged violations, all corrected as of March 1, 2024.
Deficiencies (3)
Free from abuse and neglect
Investigate/prevent/correct alleged violation
Reporting of alleged violations
Inspection Report
Abbreviated Survey
Deficiencies: 3
Date: Mar 14, 2024
Visit Reason
The visit was an abbreviated survey conducted to investigate allegations of abuse involving a resident and nursing home staff.
Complaint Details
The investigation was complaint-related involving Resident #1 who reported being kicked in the groin by Certified Nursing Assistant #2. The allegation was substantiated by witness statements and facility investigation.
Findings
The facility failed to protect a resident from physical abuse by a Certified Nursing Assistant who kicked the resident in the groin. The facility also failed to timely report the abuse allegation to the State Department of Health and law enforcement. The facility allowed the accused staff to continue resident care until the end of their shift. Corrective actions were implemented prior to the surveyor's visit.
Deficiencies (3)
F 0600: The facility failed to protect a resident from physical abuse by nursing home staff, evidenced by a Certified Nursing Assistant kicking a resident in the scrotal area causing pain and distress.
F 0609: The facility failed to timely report suspected abuse to the State Department of Health and law enforcement within required timeframes after the allegation was made.
F 0610: The facility failed to protect residents from potential abuse during an investigation by allowing the accused staff to continue resident care until the end of their shift.
Report Facts
Staff in-serviced: 97
Staff total: 116
Certified Nursing Assistants in-serviced: 41
Licensed Practical Nurses in-serviced: 17
Registered Nurses in-serviced: 7
Recreation staff in-serviced: 3
Housekeeping and maintenance staff in-serviced: 18
Dietary staff in-serviced: 13
Department heads in-serviced: 13
Physical/Occupational Therapists in-serviced: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #2 | Accused of kicking Resident #1 in the groin. | |
| Certified Nursing Assistant #1 | Witnessed the abuse and reported it to Nursing Supervisor #1. | |
| Nursing Supervisor #1 | Received abuse report, conducted assessment, and initially failed to report incident timely. | |
| Nursing Supervisor #2 | Informed of abuse report by Nursing Supervisor #1 but did not report immediately. | |
| Director of Nursing | Informed of abuse on 02/29/24 and oversaw investigation and corrective actions. | |
| Assistant Director of Nursing | Investigated abuse allegation and coordinated corrective actions. | |
| Administrator | Informed of incident and called police on 02/29/24. | |
| Medical Director | Assessed Resident #1 post-incident and confirmed no visible injuries. |
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Feb 2, 2024
Visit Reason
The inspection was a Recertification survey conducted from 01/28/2024 to 02/02/2024 to assess compliance with regulatory requirements for Beacon Rehabilitation and Nursing Center.
Findings
The facility was found deficient in multiple areas including failure to ensure resident participation in care plan meetings, failure to provide timely notice of Medicare non-coverage, incomplete and untimely review and revision of comprehensive care plans, inadequate activities program, delays in scheduling timely consultations, and inaccurate resident medical record documentation.
Deficiencies (6)
F 0553: The facility did not ensure residents #83 and #4 were invited to their person-centered care plan meetings as required.
F 0582: Resident #62 was not provided with a Notice of Medicare Non-Coverage and Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage upon termination of Medicare Part A benefits.
F 0657: The facility failed to review and revise comprehensive care plans timely for Residents #4 and #98 to reflect their current diagnoses and risks.
F 0679: Resident #57 was not provided an ongoing activities program that met their interests; activities were frequently cancelled without notification or alternatives.
F 0776: Resident #57 experienced delays in receiving timely gynecology and vascular consultations despite physician orders and documented symptoms.
F 0842: Licensed Practical Nurse #1 inaccurately documented administration of Xanax to Resident #61 who refused the medication, and Resident #67's record incorrectly indicated Foley catheter care after catheter removal.
Report Facts
Residents sampled: 26
Residents affected: 2
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Documented medication administration inaccurately for Resident #61 | |
| Licensed Practical Nurse #3 | Inaccurately documented Foley catheter care for Resident #67 | |
| Acting Director of Social Services | Interviewed regarding care plan meeting invitations | |
| Administrator | Interviewed regarding responsibility for care plan meeting invitations and Medicare notices | |
| Registered Nurse #1 | Interviewed regarding care plan review responsibilities | |
| Director of Nursing | Interviewed regarding monitoring care plan updates and consultation scheduling | |
| Activity Aide #1 | Interviewed regarding activity cancellations and scheduling | |
| Director of Recreation | Interviewed regarding activity program staffing and cancellations | |
| Minimum Data Set Coordinator | Interviewed regarding Medicare Non-Coverage notices | |
| Assistant Director of Nursing | Interviewed regarding consultation scheduling and documentation errors | |
| Medical Director | Interviewed regarding consultation delays and responsibilities |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 9
Date: Feb 2, 2024
Visit Reason
Multiple standard health and life safety code citations related to activities, care plan, Medicaid/Medicare notices, radiology, resident records, rights to participate in care, cooking facilities, hazardous areas, sprinkler system, all corrected as of March 1 or March 19-25, 2024.
Findings
Multiple standard health and life safety code citations related to activities, care plan, Medicaid/Medicare notices, radiology, resident records, rights to participate in care, cooking facilities, hazardous areas, sprinkler system, all corrected as of March 1 or March 19-25, 2024.
Deficiencies (9)
Activities meet interest/needs each resident
Care plan timing and revision
Medicaid/medicare coverage/liability notice
Radiology/other diagnostic services
Resident records - identifiable information
Right to participate in planning care
Cooking facilities
Hazardous areas - enclosure
Sprinkler system - installation
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 2, 2024
Visit Reason
The inspection was conducted as a Recertification and Complaint survey to investigate delays in scheduling timely radiologic and consultation services for Resident #57.
Complaint Details
The complaint investigation focused on delays in scheduling and completing gynecology and vascular consultations for Resident #57. The complaint was substantiated with evidence of multiple appointment cancellations and rescheduling, and failure to provide timely consultations despite physician orders.
Findings
The facility failed to ensure timely gynecology and vascular consultations for Resident #57, resulting in delayed medical management and hospitalization. Documentation showed multiple cancelled and rescheduled appointments and lack of timely follow-up despite physician orders.
Deficiencies (1)
F 0776: The facility did not provide timely, approved x-ray or diagnostic services as required. Resident #57 experienced delays in gynecology and vascular consults, leading to hospitalization due to vaginal bleeding and untreated leg swelling.
Report Facts
Residents sampled: 26
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Interviewed regarding scheduling delays and responsibilities for consult orders | |
| Director of Nursing | Interviewed about awareness of scheduling issues for Resident #57's gynecological consult | |
| Medical Director | Medical Doctor | Interviewed about responsibilities for consult orders and reported concerns about delays |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Feb 4, 2022
Visit Reason
The inspection was a Recertification survey to assess compliance with federal regulations for nursing homes.
Findings
The facility was found deficient in properly managing residents' personal funds by not providing quarterly statements, failing to provide ordered assistive devices to maintain residents' range of motion, and lacking a complete Legionella water management plan. Additionally, infection control practices were inadequate, with oxygen tubing observed touching the floor.
Deficiencies (3)
F 0568: The facility did not provide quarterly financial statements to residents or their representatives within 30 days after the end of the quarter, as required. This was evident for 2 of 24 residents reviewed.
F 0688: The facility failed to provide a resident with ordered handroll and splint devices to maintain range of motion, and staff did not document resident refusal adequately.
F 0880: The facility's Legionella water management plan lacked required environmental risk assessment and a functional sampling plan. Infection control practices were deficient as oxygen tubing was observed touching the floor on multiple occasions.
Report Facts
Residents reviewed: 24
Residents affected: 2
Residents affected: 1
Residents affected: 2
Resident #46 fund balance: 40
Resident #67 fund balance: 1962.68
Oxygen flow rate: 2
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 12
Date: Feb 4, 2022
Visit Reason
Multiple standard health and life safety code citations including accounting and personal funds, care plan, mobility, infection control, reporting violations, electrical systems, sprinkler maintenance, construction standards, subsistence needs, vertical openings, all corrected as of April 2022.
Findings
Multiple standard health and life safety code citations including accounting and personal funds, care plan, mobility, infection control, reporting violations, electrical systems, sprinkler maintenance, construction standards, subsistence needs, vertical openings, all corrected as of April 2022.
Deficiencies (12)
Accounting and records of personal funds
Care plan timing and revision
Increase/prevent decrease in rom/mobility
Infection prevention & control
Reporting of alleged violations
Electrical systems - essential electric syste
Electrical systems - other
Ep program patient population
Sprinkler system - maintenance and testing
Standards of construction for new existing nh
Subsistence needs for staff and patients
Vertical openings - enclosure
Inspection Report
Deficiencies: 0
Date: Jul 12, 2019
Visit Reason
The document is a statement of deficiencies and plan of correction for Beacon Rehabilitation and Nursing Center following a survey completed on July 12, 2019.
Findings
No health deficiencies were found during the inspection.
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